Carelon | The Job

Carelon

https://www.carelonglobal.com/

About

Carelon Global Solutions (CGS) is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system. Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in January 2023, as a fully owned subsidiary of Elevance Health. CGS brings together a global team of like-minded innovators who manage and optimize operational processes for health plans as well as providers. What’s unique about Carelon Global Solutions (CGS)? - Our clinical and operational expertise can meet the needs of health plans of any size. - Our 25,000+ strong diverse, multi-cultural team is equipped with deep experience in the health insurance and operational processes space. - We have access to the collective experience and expertise of a large healthcare organization and are able to bolster it with the agility and adaptability of a start-up. - We deliver cohesive, integrated and end-to-end experiences that advance whole-person health by leveraging intuitive quality controls, metrics-driven governance and exceptional customer service. Our brightest minds housed across our global headquarters in Indianapolis as well as Bengaluru, Hyderabad and Gurugram in India, Manila in the Philippines, Limerick in Ireland and San Juan in Puerto Rico bring with them innovative capabilities and an unmatched depth of experience. This global team uniquely positions CGS to enable scalable, next-generation platforms and specialized digital tools that make healthcare operations more practical, effective and efficient.

Active Jobs

39 Jobs

Category

IT Services and IT Consulting

Headquarters

Indianapolis, Indiana, United States

Recent jobs

Fresher - Benefit Analyst Junior

Carelon

Gurgaon, Haryana, India

+1 more

Posted: 25 days ago

JOB POSITION Carelon Global Solutions India is seeking Associate Benefits Analyst who have good US healthcare knowledge. Preferably Benefits Configuration -WPD Benefit Coding/Auto Adjudication set up.   JOB RESPONSIBILITY Benefits Analyst Jr (IND) will be responsible for the following: Good Analytical and problem-solving skills Willing to work in any shifts. Excellent communication skills.   QUALIFICATION Bachelors’ or Masters’ degree in fine arts/ design Non - computer science degree / Non-BTech (preferably)   EXPERIENCE Fresher   SKILLS AND COMPETENCIES Good Analytical and problem-solving skills Willing to work in any shifts. Excellent communication skills and experience in working with US clients directly

Fresher - Claims Associate Junior

Carelon

Gurgaon, Haryana, India

Posted: 6 months ago

Carelon Global Solutions India is seeking a Junior Associate - Claims to deliver processing tasks as per SLA parameters. Reporting to Team Lead, the role involves understanding business metrics, coordinating with partners, and ensuring timely claim processing.

Reporting Specialist

Carelon

Taguig, Metro Manila, Philippines

Posted: a year ago

JOB DESCRIPTION Responsible for preparing and ensuring accuracy of reports on operational data and metrics. Primary duties may include, but are not limited to: Conducts research required to verify report accuracy. Manipulates and enters data to prepare required reports. Ensures relevance and accuracy of reporting. Requires a H.S. diploma or equivalent and 1-3 years related experience; or any combination of education and experience, which would provide an equivalent background. Written and oral communication skills required. Good PC office software and keyboard skills required.

Assistant Manager

Carelon

Taguig, Metro Manila, Philippines

Posted: a year ago

JOB DESCRIPTION Responsible for serving as the operations point of contact in for day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets Primary duties may include, but are not limited to: Conducts Performance reviews and participates in performance management initiatives. Acts as a liaison for both internal and external groups for program initiatives. Contributes in creating, launching and driving critical account initiatives and programs. Provides inputs to policies and processes impacting the operations. Manages a team of CCR’s in the optimal execution of operations activities ensuring that each team member meets / exceeds their goals and metrics on a daily, weekly and monthly basis. Coordinates with workforce for staffing requirements and scheduling of agents given leaves, absences and attrition.   Arranges schedules to meet the service metrics by efficiently handling the forecast and / or spikes in call. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Requires a BA/BS; 5 years of related experience in a call center environment; or any combination of education and experience, which would provide an equivalent background.

Mgr Customer Care

Carelon

Iloilo, Antique, Philippines

Posted: a year ago

JOB DESCRIPTION Responsible for providing oversight for customer service staff. Responsible for establishing departmental policies and procedures. Primary duties may include, but are not limited to: Directs implementation and administration of benefit programs. Prepares and communicates information to appropriate parties regarding benefit programs, procedures, changes and government mandated disclosures. Audits to monitor efficiency and compliance with policies; prepares specialized reports; may be assigned to special project work consistent with the role and dictated by the needs of the business. Hires, trains, coaches, counsels, and evaluates performance of direct reports; Requires BA/BS; 3 years of experience in a leadership role and 5 years related customer service experience, or any combination of education and experience, which would provide an equivalent background.

Customer Care Rep I

Carelon

Taguig, Metro Manila, Philippines

Posted: a year ago

Responsible for customer inquiries regarding insurance benefits, claims, and more. Requires basic training completion, PC skills, and positive customer relations. Role includes data analysis, troubleshooting, and meeting department goals. On-site full-time opportunity at Carelon in Taguig, Metro Manila, Philippines.